Brand Specific Report for the Second Quarter 2007
June 28, 2007
The second quarter 2007 brand specific report is now online for your convenience. This fill-in
version of this form is on the Department's website which will be in
acrobat reader. You open the form and then you can type in the information on your computer.
The pages will total for you automatically. Print one copy to mail to the department (keep a
copy for yourself). There is not a way available yet to electronically file this form. Please send
only the original report, no extra copies are requested at this time.
If you use an Excel file or computer-generated report, you may still send those attached to a
copy of the Brand Specific Report. You must still fill in the distributor information at the top of
the page. Also, make sure that your monthly reports are combined for a quarterly total. If there
is not ONE quarterly total for each brand, the report will be considered as incomplete and
returned to the distributor for completion.
For TOBACCO ONLY DISTRIBUTORS, if you are purchasing roll your own (RYO) products,
you must complete this form each quarter. We need to know if you are purchasing any RYO
products directly from the manufacturers, which is then sold in Iowa. If you are not buying
RYO product, just fill in the permit number and the distributor information at the top of the
page, check the NONE box, sign and date the form. ALL IOWA Cigarette or Tobacco
Distributors, whether there is Iowa purchases or sales must file this report. Failure to timely
file this report each quarter will subject you to a penalty of $200.00 or greater.
All information pertaining to the Directory of Approved Brands and the Minimum Price List is
only sent out by e-mail to all subscribers of the cigarette and tobacco eList. Please contact
Dawn Johnson if you are not currently on the eList or for some reason have not received an
e-mail from the department within the last month. All cigarette and tobacco tax forms need to
be retained for three years, unless it pertains to the Brand Specific Reports, which have a five-
year retention requirement.
If you have any questions, you may send me an e-mail - Dawn.Johnson@iowa.gov - or give me a
call at 515-281-8023.
Dawn Johnson, Examiner
Examination Section, Compliance Division
(515) 281-8023
Fax: (515) 281-3756
Dawn.Johnson@iowa.gov
MAIL ADDRESS: PO BOX 10456
DES MOINES, IOWA 50306-0456